General Registration Form

Thank you for your interest in a Bluebird Guided Tour! Please fill out the form below and we will follow-up with specific trip information and an additional registration form. Feel free to reach out if you have any questions.

Name *

Name

First Name

Last Name

Name You Go By

Date of Birth

Date of Birth

MM

DD

YYYY

Email Address *

Home Phone

Home Phone

(###)

###

####

Work or Cell Phone

Work or Cell Phone

(###)

###

####

Address Information

Permanent Address *

Permanent Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Winter Address (if different from Permanent Address)

Winter Address (if different from Permanent Address)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Dates at Winter Address

Travel Information

Known Disability or Illness

Your Mobility Level

1 = Tortoise; 5 = Hare

Passport Number

(9 Digits)

Passport Expiration

Passport Expiration

MM

DD

YYYY

Emergency Contact

Name of Emergency Contact

Name of Emergency Contact

First Name

Last Name

Emergency Contact's Phone

Emergency Contact's Phone

(###)

###

####

Relationship to Emergency Contact

Fill out if there's a Second Party

Second Party's Name

Second Party's Name

First Name

Last Name

Date of Birth

Date of Birth

MM

DD

YYYY

Email

Home Phone

Home Phone

(###)

###

####

Work or Cell Phone

Work or Cell Phone

(###)

###

####

Second Party's Permanent Address (if different than address listed above)

Second Party's Permanent Address (if different than address listed above)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Travel Information for Second Party

Known Disability or Illness

Your Mobility Level

1 = Tortoise ; 5 = Hare

Passport Number

(9 Digits)

Passport Expiration

Passport Expiration

MM

DD

YYYY

More info

How did you hear about us?

Bank / Credit Union Statement Flyer?

Online?

Newspaper / Television? (list which one below)

Friend or Family? (list who below)

Referral information

DOMESTIC TRIP SIGN-UP

I'd like to sign-up for the following trip:

Alaska Discovery Tour 2018 (July 31 - Aug. 13, 2018)

New York City Tour 2018 (Aug. 26 - Sept. 1, 2018)

California & Oregon (Sept. 5-14, 2018)

Western Train Tour (Sept. 8-17, 2018)

New England Fall Foliage Tour 2018 (Oct. 4-12, 2018)

Southern Hospitality Tour 2018 (Nov. 1-9, 2018)

Hawaiian Island Tour (March 20-29, 2019)

Alaska Discovery Tour 2019 (July 30 - Aug. 12, 2019)

New York City Tour 2019 (Aug. 23 - 29, 2019)

California & Oregon (Sept. 4-13, 2019)

New England Fall Foliage Tour 2018 (Oct. 4-12, 2019)

Southern Hospitality Tour 2019 (Nov. 1-9, 2019)

INTERNATIONAL TRIP SIGN-UP

I'd like to sign up for the following trip

Canadian Rockies Train Tour (August 3-12, 2018)

Nova Scotia & Prince Edward Island Tour (Aug. 16 - 25, 2018)

Tour of Italy (Sept. 4-14, 2018)

Incredible Ireland Tour (Sept. 17 – 26, 2018)

Incredible Ireland & Scotland Tour (Sept. 17 – Oct. 1, 2018)

Canadian Rockies Train Tour (Sept. 21-30, 2018)

Grand Australia & New Zealand Tour (Oct. 23 – Nov. 11, 2018)

Nova Scotia & Prince Edward Island Tour (July 25 - Aug. 3, 2019)

Canadian Rockies Train Tour (August 12-21, 2019)

Tour of Italy (Sept. 4-14, 2019)

Canadian Rockies Train Tour (Sept. 16-25, 2019)

Incredible Ireland Tour (Sept. 16 – 25, 2019)

Incredible Ireland & Scotland Tour (Sept. 16 – 30, 2019)

Grand Australia & New Zealand Tour (Oct. 22 – Nov. 10, 2019)

Additional notes or questions?

Your information has been submitted. We will follow up with information about specific trip, payment, departures and travel insurance.